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Alice Jean Mang, LISW

Social Worker, Clinical in Wright Patterson Afb, OH. Individual provider (NPI-1).

NPI number1891786323
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1891786323
Entity type
Individual (NPI-1)
Name
Mrs. Alice Jean Mang
Credential
LISW
Sex
Female
Sole proprietor
No
Enumeration date
Nov 3, 2005
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalI-0004396OHYes

Practice location

4881 Sugar Maple Dr
88mdg/Sghj
Wright Patterson Afb, OH 45433-5546

Phone 937-257-1368 · Fax 937-656-1192

Mailing address

2345 Sherwood Ct
Xenia, OH 45385-9103

Phone 937-374-3566

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Other Clinical Social Worker providers in Wright Patterson Afb, OH

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